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3 Key Activities to Prevent Denied Claims in 2020
Despite relentless efforts to curb the growth in denied healthcare claims, physician practices see between five and ten percent of claims continue to be rejected by commercial and public payers each...CMS Pays Out $34B in Advance Medicare Reimbursement to Providers
UPDATED 04/04/2020: CMS has now approved over $51 billion in accelerated and advance Medicare reimbursement for providers, according to a news alert emailed to journalists on April 9. In a...Hospital Reimbursement for Uninsured COVID-19 Cases May Total $42B
Hospital reimbursement for the treatment of uninsured COVID-19 patients could account for more than 40 percent of the $100 billion earmarked for hospitals in the latest coronavirus stimulus package,...Hospital Stimulus Funds to Pay for Uninsured COVID-19 Treatment
Some of the $100 billion in coronavirus stimulus money earmarked for hospitals will pay for COVID-19 treatment of the uninsured, HHS Secretary Alex Azar recently announced. For more coronavirus...AHA Asks for an Immediate $25K Per Hospital Bed to Combat COVID-19
COVID-19 is having a significant impact on hospital operations and ultimately bottom lines, but groups like the American Hospital Association (AHA) are trying to get financial support to hospitals as...CMS Offers Upfront Medicare Reimbursement During COVID-19 Pandemic
More healthcare providers will be able to access advanced Medicare reimbursement during the COVID-19 pandemic as CMS expands the Accelerated and Advanced Payment Program. For more coronavirus updates,...Hospitals to Lose $1K Per COVID-19 Case Despite Medicare Rate Bump
The coronavirus stimulus package earmarked billions of dollars for hospitals and other frontline providers, but the emergency funding still might not be enough to support hospitals facing significant...Documentation to Ease Medical Billing Issues Due to COVID-19
Clinical documentation is critical to serving patients with COVID-19, but also avoiding medical billing and payment issues in the months and years following the pandemic, according to healthcare...MedPAC Suggests No Medicare Payment Increase for Physicians
The Medicare Payment Advisory Commission (MedPAC) is recommending no fee-for-service Medicare payment update for physicians and other healthcare professionals in 2021, citing good access to care for...CMS Releases Medicare Reimbursement Details for COVID-19 Tests
Following the development of new billing codes, CMS is now letting clinical laboratories know how much they will receive in Medicare reimbursement for testing patients for COVID-19. CMS emailed...No Reimbursement Impedes Social Determinants of Health Progress
Hospitals are struggling to implement and sustain programs addressing social determinants of health without direct claims reimbursement, according to a recent survey of 200 healthcare experts. The...42% of Anesthesiologists Had Contracts Terminated in Last 6 Months
Anesthesiologists are being forced out of network as private insurers terminate their physician contracts with little to no notice, according to a recent survey conducted by the American Society of...Number of Medicare-Dependent Hospitals Falls by 28%
The number of hospitals treating disproportionate volumes of Medicare beneficiaries declined by 28 percent from 2011 through 2017, and these Medicare-dependent hospitals (MDHs) received less additional...Inpatient No Longer King as Hospital Outpatient Revenue Grows
“Heads in beds” is no longer the motto for hospitals, which are seeing their hospital outpatient revenue nearly equal inpatient revenue, according to a new report from the Deloitte Center...Claims Reimbursement Changes Notably Reduce Low-Value Care
A greater reduction in low-value vitamin D screening was associated with a claims reimbursement change related to recommendations, according to a recent study. Published in JAMA Network Open on...Patient-Driven Payment Model Reimbursement Exceeds CMS Prediction
Initial analysis of the Patient-Driven Payment Model (PDPM) shows success in the model’s rollout, exceeding the Centers for Medicare and Medicaid’s (CMS’s) predictions. The model,...Medicare Payments Unfair to Providers Treating Vulnerable Patients
Medicare’s reimbursement methodology risks unfairly paying providers, hospitals, and Medicare Advantage plans who treat vulnerable populations. In value-based payment models, Medicare uses risk...Sponsored by Brault
Emergency Medicine’s Ongoing Battle for Equitable Reimbursement
Emergency medicine is vastly different from most other healthcare specialties, especially when you consider the payer mix and reimbursement process that has helped shape the business model. As...20% of Elective Surgery Patients Receive a Surprise Medical Bill
Privately insured patients who receive care from in-network physicians may receive surprise bills from out-of-network clinicians they did not choose when undergoing common surgeries, according to a...Sponsored by 3M
